NPI: 1225244106 · ELYRIA, OH 44035 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 567 | $8K |
| 2019 | 767 | $7K |
| 2020 | 1,023 | $21K |
| 2021 | 12 | $517.65 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 392 | 372 | $16K | |
| 92004 | 121 | 121 | $5K | |
| V2100 | Lens spher single plano 4.00 | 181 | 179 | $5K |
| 92340 | 205 | 191 | $4K | |
| V2020 | Vision svcs frames purchases | 209 | 203 | $3K |
| V2784 | Lens polycarb or equal | 183 | 181 | $3K |
| 92015 | 162 | 162 | $40.00 | |
| G9903 | Pt scrn tbco id as non user | 257 | 237 | $0.00 |
| 1036F | 280 | 256 | $0.00 | |
| G8427 | Docrev cur meds by elig clin | 379 | 356 | $0.00 |